Maker Surgical, S.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036045277 Issued in IL

Legal business name

MAKER SURGICAL, S.C.

Practice address

3000 N Halsted St
Suite 500
Chicago, IL 60657-5188

Phone

(773) 296-5346

Fax

(773) 296-5570

NPI assigned

Jun 3, 2011

Last updated

Jun 3, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vijay K. Maker, M.D., F.A.C.S.NPI 1194832212

Title

President/Owner

Phone

(773) 296-5346

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vijay K Maker

  • Surgery Physician
  • Chicago, IL
  • NPI 1194832212
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1730473067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 HILLCREST RD",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221215",
            "telephone_number": "773-296-5346",
            "fax_number": "773-296-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST",
            "address_2": "SUITE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575188",
            "telephone_number": "773-296-5346",
            "fax_number": "773-296-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKER SURGICAL, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "MAKER",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "773-296-5346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036045277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "222350",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036045277",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine L Makarewicz-Villaire, LCPC, ATR-BC
• Make a Wish Home Care LLC
• Make a Wish Transportation LLC
• Janice L Makela, M.D.
• Leigh Rose Makely, OTR/L
• Ajay Maker, MD
• Vijay K Maker
• Melanie Mala Makhija, MD
• Nikhil Makhija
• Javlon Makhkamboev, MD

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.